Abstract
Amelogenesis imperfecta is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder. This case report describes a multidisciplinary team approach for the oral rehabilitation of a young adult patient diagnosed with hypocalcified amelogenesis imperfecta with anterior single tooth crossbite. The specific objectives of this treatment were to enhance esthetics, eliminate tooth sensitivity and restore masticatory function. Treatment included maintenance of gingival health, correction of crossbite, surgical crown lengthening of the maxillary and mandibular posterior teeth and placement of full mouth metal-ceramic crowns. The patient was highly satisfied with the aesthetic and functional outcome of the treatment.
Highlights
Amelogenesis imperfecta (AI) is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder.[1]
Amelogenesis is a two-staged process where a protein rich matrix is initially laid down during the secretary phase, followed by the mineralisation phase where the proteins are replaced by hydroxyapatite crystals
AI affects the formation of the enamel matrix or the enamel mineralisation process of both the primary and secondary dentition and affects the quantity and quality of the enamel structure and the overall appearance of all or most the teeth.[2]
Summary
Amelogenesis imperfecta (AI) is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder.[1] Amelogenesis is a two-staged process where a protein rich matrix is initially laid down during the secretary phase, followed by the mineralisation phase where the proteins are replaced by hydroxyapatite crystals. This results in the highly mineralized enamel structure. This case report presents the diagnosis and treatment planning of a 17-year-old girl whose chief concern was unaesthetic appearance of her teeth
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